- Occupational Health and Safety (First-Aid) Regulation 2001
- Columns headed: Name, Age, Address, Occupation, Industry in Which Working, Operation in Which Engaged at Time of Injury, Date, Time, Type, Cause, Location, Treatment Given, Name of First-Aid Person in Attendance, Signature, Date and Details of Referral for Further Treatment (if required).
- Durable covers
- Made in Australia
- Length 210mm x Width 295mm